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- Title
Premature newborn positionings and physiologic parameters -- a randomized clinical study.
- Authors
Castro, Estefani Santos; Bacil, Leticia Furman; de Lima de Almeida, Franciny; Andreazza, Marimar Goretti; AlvesPedrão, Rodolfo Augusto; Valderramas, Silvia Regina
- Abstract
Introduction: Multiple studies have shown the effects of prone (PP), supine (SP) and kangaroo (KP) positions on clinical and physiological outcomes in preterm newborns, but none compared these three types of positioning between them. Objective: To investigate the influence of these positionings on heart rate, respiratory rate, peripheral oxygen saturation (SpO2) and alertness status in clinically stable preterm newborns (NBs) admitted to a neonatal intensive care unit. Methods: In a randomized clinical trial, clinically stable NBs with gestational ages from 30 to 37 weeks who were breathing spontaneously were allocated in three positioning groups: PP, SP and KP. Heart rate, breathing frequency, SpO2 and alertness status were evaluated immediately before and after 30 minutes of positioning. Results: In all, 66 NBs were assessed (corrected age: 35.48 ± 1.94 weeks; weight: 1840.14 ± 361.09 g), (PP: n = 22; SP: n = 23; KP: n = 21). NBs in the PP group showed a significant improvement in peripheral SpO2 (97.18 ± 2.16 vs 95.47 ± 2.93 vs 95.57 ± 2.95, p = 0.03) compared with the SP and KP groups. Conclusion: In clinically stable preterm NBs, the PP was associated with better peripheral oxygen saturation than the SP or KP. In addition, there was a reduction in heart rate within prone position group and in the KP group there was an increase in the number of NBs in the deep sleep classification.
- Subjects
BRAZIL; INTENSIVE care units; LENGTH of stay in hospitals; STATISTICS; NEONATAL intensive care; ANALYSIS of variance; CRITICALLY ill; CRYING; OXYGEN saturation; HOSPITAL care of newborn infants; PATIENTS; AGITATION (Psychology); TREATMENT effectiveness; RANDOMIZED controlled trials; COMPARATIVE studies; PRE-tests &; post-tests; HEART rate monitoring; CHI-squared test; DESCRIPTIVE statistics; RESPIRATORY therapy; POSTNATAL care; RESPIRATION; WAKEFULNESS; STATISTICAL sampling; APGAR score; DATA analysis software; DATA analysis; LYING down position; SUPINE position; LONGITUDINAL method; CHILDREN
- Publication
Fisioterapia em Movimento, 2023, Vol 36, p1
- ISSN
0103-5150
- Publication type
Article
- DOI
10.1590/fm.2023.36102